Intersystems & Hack Healthcare:

Exploratory Workshop Report

Goal
The goal of the exploratory workshop was for InterSystems
to explore, together with their close health ecosystem andpartners, 3 key topics and to create a catalogue of challenges
hypothesis within these topics: very specific, narrowly
defined problems that InterSystems could sponsor at Hack
Healthcare, and whose solution can take place within 18
months, without the need of new regulations or technology.
Participants were coming from a wide variety of the healthecosystems such as: hospitals, local politician, Trade &Professional Association, Facilitator, IT companies andBusiness consultancies

Methodology

STEP 01

Choosing the directionof the challenges
Three areas where the challenges were to be explored – below – had already been identified byInterSystems. Participants, divided into 2 groups based on their expertise and background, wereasked to choose one of the three topics to work on with their group. The two topics selected by
the groups are highlighted below.
1.

Improving data quality
Improving the quality of data collection, getting clean data: data need to be gatheredcorrectly and tagged as it should to make sure it’s HEALTHY DATA. Data is everywhere,
however if the data collected is not trustworthy, it is not easily exploitable.

2.

Enhancing data sharing in and between hospitals
Enhancing data sharing between departments within hospitals, between different hospitals
within the hospital networks, and between different hospital networks for the direct benefitof the patients. Finding a common way of communicating through, for example, standards,
clean protocols, clearmy defined use cases, etc.

3.

Enhancing data sharing between the lines of careEnabling better data exchange between the first and second lines of care: between hospitals
and patients, hospitals and GPs, patients and GPs, but also with home nurses, physio, … etc.

STEP 02

Topic

Problem identified

Identifying most impactful
and urgent issues

Enhancing data sharing in

Patient journey: importance of transfer points in sharing patient’s data

and between hospitals

To exemplify these problems the participants have taken several examples:1.

Participants of the first group thoroughly examined theframework of enhancing data sharing in and between

There is a problem of care continuity in the same hospitals, for example, withinemergencies who have transfer problems when they need to transfer patients toother departments

2. There is a problem of care continuity when the patients change from one hospital toanother during the care journeyhospitals, while the participants in the second group focusedon enhancing data sharing between the lines of care. Bothgroups wrote down use cases based on their experience

3. How do we avoid record duplication of patient’s tests in laboratory (in the samehospital or when the patients move from one to another)?

and linked to their topic and, through discussions, clusteredsimilar problems together. They then examined the following
components of the issues previously identified:

4. How do we address the sensitivity and importance of sharing patient’s data theamongst the doctors and their colleagues?

• The urgency: based on the imminence (is the problem

5. How do we create ownership and trust for the patients in sharing their data?

already here, emerging soon, or still a long way off?)

6. Medication scheme: it is important that the medication scheme of each individual isand lack of attention (is the problem being overlooked,

available at all times for them to be able to share it when necessaryor severely under-invested or is there already sufficientinvestment of money and effort in solving it?) of the
problem• The impact: based on the scale (how many people areaffected by this problem?) and severity (how serious is theimpact of this problem on an affected individual?) of theproblem.
Based on this exercise, each group then chose one problem topresent to the audience:

Enhancing data sharing
between the lines of care

To exemplify these problems the participants have taken several examples:
1.

There is a problem in monitoring the medical parameters taken by the patient?

2. How to identify and prioritize in the most efficient way possible to treat the medicalproblems?
3. The laboratory results are not easily available all in one place for the patients
4. There is not an easy and efficient patient summary available for the patients to findtheir medication schemes, though the pharmacies have a system where the patient
can consult their medication scheme as it exists in the Algemeen Medisch Dossier
at the GP
5. Exchange among hospitals for care continuity where understanding medication
scheme of/for the patients’ needs to be improved

STEP 03

The challenges hypothesis
What is a challenge?
A challenge is, in the framework of Hack Healthcare, a very
specific, narrowly defined problem whose resolution can takeplace within 18 months and would not require new regulations
or technology.
Hack Healthcare is the open, public sandbox that brings
together all healthcare ecosystem stakeholders in a seamless,successful collaboration between people and companies –even between those that are usually in direct competition witheach other – building bridges across the ecosystem.
An example of challenge from Hack Healthcare 2022 Edition:
Accurate picture of patient journey: How might we collect,verify, augment and analyse these data to build an accurate
picture of the patient journey, taking into account the patient
experience and clinical data?

Outcomes

The findings and discussions of theworkshop helped generating the following
challenges hypothesis:

Enhancing data sharing in andbetween hospitals
Availability of the patients’ historical datais critical for ensuring optimal treatment.
However, at this time patient data is notdigitally transferable between hospitals
in the same network, or between hospitalnetworks.
• How might the patient transfer their datawith them when they change hospitals?
• How might we make relevant historical
data of the patient accessible to thepatient and to all the health stakeholders
working for them?
• How might we use “portability” of patient
data to improve the patient journey? And
this without being too dependent on
hospital IT systems (such as HER…) andtechnology?

The first ideations to tackle
these problems are thefollowing:• Unique Patient ID is key• How might we provide a digital analogueof the “yellow box” that could be
carried by a patient themselves or by anaccompanying family member?
• How might we quickly identify and• Structuring the data is the prerequisitecontact the treating GP to get the full

• Improve access rights for all the actors

patient?

would facilitate communications, reinforce
trust and improve cybersecurity• Educate doctors on the importance ofsharing data (for better care of patients)and help them by making it not time
consuming• A solution should be as unintrusive andco-operating with different hospitals IT
systems and technology

Enhancing data sharing
between the lines of care
Patients and family members that
accompany them to the emergency room
are frequently unable to give sufficient detailpicture of the medication regimen of a• How might we design and deploy achecklist that the ER personnel can use to
avoid most of the obvious drug interaction
issues by asking simple questions to thepatient or their family member?

The first ideations to tackle
these problems are thefollowing:• Track patient medication efficiently, realtime• Design a relevant checklist upon entry in
ER to avoid potential critical situations• Improve access rights so the patientsof the patients’ full medication use. It is,can decide at all times with whom they

however, critical that the medication scheme

want (and they don’t want) to share thisof each arriving patient is known at themedical information

time of arrival to avoid life-threatening druginteraction problems, allergic reactions andother complications.

What’s Step 04?
Going forward, InterSystems will engage
in other workshops to keep exploring thetopics related to enhancing data availability
for patients, wherever they are, identifying
clusters with the healthcare ecosystem
while determining narrowly defined issues/challenges to address at Hack Healthcare.
After the two final challenges, sponsoredby InterSystems, at Hack Healthcare
are established upon conclusion of theworkshops, they will be subject to review
from an extended group, representing theentire healthcare ecosystem, in a series ofEcosystem Workshops, to ensure they staybusiness relevant for several companies
and organizations. This results in bringing
the challenges will be brought to theHack Healthcare event on June 13-14, 2023
resulting in solutions proposed and worked
upon by the event participants.

A special thanks to all
the participants
Karin Hohmann, Business Manager
Healthcare Harmony Group; Stéphane
Odent, CIO Hospital Saint-Pierre;
Dominique Duhayon, CEO Masana;
Geert Thienpont, Managing Director
i~HD; Andries Demont, Sales Engineer
InterSystems; Geoffroy Vitoux, Marketing
Programs Manager InterSystems; KarlienErauw, Expert ICT Standardisation Agoria
and head of IHE Belgium; Jean-Claude
Vitoux, President of the CPAS/OCMW
Auderghem; Olivier Dobeli, Development
and Integration Manager Hospital CHR
de la Citadelle; Cédric Declerfayt, DSI
Departement Hôpital Erasme; Céline
Lejeune, Project Manager Masana; Alain
Houf, Senior Sales Engineer InterSystems;
Jan Vekemans, Country Sales ManagerInterSystems